Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1895RMPNP	PIROXICAM piroxicam 10 mg dispersible tablet, 50 (PI, CMI)	1	50	3	$17.23	$18.54	$23.08
	Available brands
	Mobilis D-10

Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1896TMPNP	PIROXICAM piroxicam 20 mg dispersible tablet, 25 (PI, CMI)	1	25	3	$17.00	$18.31	$22.85
	Available brands
	Mobilis D-20a
	Feldene-Da * Additional charge for this brand is $7.92B	1	25	3	$24.92	$18.31	$30.77

Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1897WMPNP	PIROXICAM piroxicam 10 mg capsule, 50 (PI, CMI)	1	50	3	$17.23	$18.54	$23.08
	Available brands
	APO-Piroxicama
	Feldenea
	Mobilis 10a

Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
1898XMPNP	PIROXICAM piroxicam 20 mg capsule, 25 (PI, CMI)	1	25	3	$17.00	$18.31	$22.85
	Available brands
	APO-Piroxicama
	Mobilis 20a

Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5201RDP	PIROXICAM piroxicam 10 mg dispersible tablet, 50 (PI, CMI)	1	50	0	$17.23	$18.54	$23.08
	Available brands
	Mobilis D-10

Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5202TDP	PIROXICAM piroxicam 20 mg dispersible tablet, 25 (PI, CMI)	1	25	0	$17.00	$18.31	$22.85
	Available brands
	Mobilis D-20a
	Feldene-Da * Additional charge for this brand is $7.92B	1	25	0	$24.92	$18.31	$30.77

Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5203WDP	PIROXICAM piroxicam 10 mg capsule, 50 (PI, CMI)	1	50	0	$17.23	$18.54	$23.08
	Available brands
	APO-Piroxicama
	Feldenea
	Mobilis 10a

Source	General Schedule
Body System	MUSCULO-SKELETAL SYSTEM > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS > ANTIINFLAMMATORY AND ANTIRHEUMATIC PRODUCTS, NON-STEROIDS

Restricted Benefit

Code & Prescriber	Medicinal Product Pack (Name, form & strength and pack size)	Max qty packs	Max qty units	No. of repeats	DPMQ	Max Safety Net	General Patient Charge
5204XDP	PIROXICAM piroxicam 20 mg capsule, 25 (PI, CMI)	1	25	0	$17.00	$18.31	$22.85
	Available brands
	APO-Piroxicama
	Mobilis 20a